| NPI | 1750888418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2877) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135101) |
| 1041C0700X Social Worker, Clinical (Licence: MS C10566) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2023-05-05 |